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Related Experiment Videos

Diffusion of surgical technology. An exploratory study.

F A Sloan, J Valvona, J M Perrin

    Journal of Health Economics
    |February 9, 1986
    PubMed
    Summary
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    This study analyzed surgical procedure diffusion, finding that hospital characteristics and location significantly impact innovation adoption more than payer mix. Regulatory policies showed varied effects on technology spread.

    Area of Science:

    • Health Services Research
    • Medical Innovation Diffusion
    • Healthcare Management

    Background:

    • Understanding the diffusion of new surgical procedures is crucial for healthcare policy and resource allocation.
    • Previous research has explored factors influencing technology adoption, but comprehensive empirical analysis across multiple procedures is limited.

    Purpose of the Study:

    • To empirically analyze the diffusion patterns of five surgical procedures.
    • To examine the roles of payer mix, regulatory policies, physician diffusion, hospital competition, and hospital characteristics in technology adoption.

    Main Methods:

    • Utilized a time series cross-section database of 521 hospitals.
    • Data sourced from discharge abstracts submitted to the Commission on Professional and Hospital Activities.

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  • Employed a framework analyzing innovation based on anticipated returns and costs.

    • Main Results:

    • Innovation adoption is influenced by anticipated returns and costs, consistent with general innovation frameworks.
    • Generous payer mix was associated with increased likelihood of innovation, though its marginal effect was small.
    • Hospital location and characteristics (size, teaching status) had a greater impact on diffusion than payer mix.
    • Hospital rate-setting policies sometimes hindered diffusion, while Certificate of Need programs did not demonstrate a significant effect.

    Conclusions:

    • Hospital characteristics and market dynamics, rather than solely payer mix, are key drivers of surgical procedure diffusion.
    • Regulatory policies have nuanced effects on the adoption of new medical technologies.
    • Future research should consider the interplay of economic, organizational, and regulatory factors in healthcare innovation.